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P-240 Implementing reflective practice in a hospice using the resilience based clinical supervision model
  1. Denise Douglas
  1. Havens Hospices, Southend on Sea, UK


Background The COVID-19 pandemic highlighted the emotional burden and stress experienced by palliative care workers (Pastrana, De Lima, Pettus, Ramsey, et al. Palliat Support Care. 2021; 19(2):187–192). The charity identified that a sustainable model of clinical supervision was needed to support the wellbeing of clinical staff (Care Quality Commission. Supporting information and guidance: supporting effective clinical supervision. 2013). Two clinical staff were supported to participate in the Resilience Based Clinical Supervision (RBCS) Facilitators programme with the Foundation of Nursing Studies (FONS. Clinical supervision resources: What is Resilience-based Clinical Supervision? [Internet]), and Hospice UK between 2021 -2022.

Aim To demonstrate how the model of RBCS – known as Reflective Practice (RP) – was implemented and evaluated within the hospice. To evidence the impact it has made to clinical staff following attendance at RBCS/RP sessions.

Method Nov. – Feb. 2021–2022: submission and approval of the proposal. Strengths, Opportunities and Threats analysis submitted to the Leadership Team. Recruitment of prospective facilitators. Three ‘Train the Trainer’ workshops. Baseline survey facilitated by Hospice UK in June 2022. Six-month pilot commenced July 2022. Nov. 2022: review of RBCS/RP sessions attended. Jan. 2023: Snapshot analysis from staff. Apr. 2023: repeat of initial baseline Hospice UK survey to demonstrate the positive impact on staff attending. (In progress).

Results Hospice UK baseline survey results – Response 25 out of 150 (16%).

16% – neutral or slightly negative perspective.

16% – positive perspective.

Nov. 2022: 152 sessions booked and 91 staff attended, = 66%.

Jan. 2023: 52% had attended RP.

Jan. 2023: Snapshot analysis.

61% found the sessions helpful.

The RBCS/RP model was re-launched in April 2023 with a new poster and dates of sessions displayed in all staff clinical areas, Teams, and the hospice intranet, to positively encourage staff to book and attend with their manager’s support.

Conclusion Evaluation of the RBCS/RP shows a positive contribution to the wellbeing of the clinical staff in the inpatient unit, hospice at home and children and young people’s teams. We have learnt that continual evaluation is essential to assess the impact of RBCS/RP for staff wellbeing.

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